How To Use HCPCS Code C1777

HCPCS code C1777 describes the lead used in a cardioverter-defibrillator, specifically an endocardial single coil implantable lead. This code is used to identify and bill for the supply of this specific lead used in cardiac procedures. In this article, we will explore the details of HCPCS code C1777, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS C1777?

HCPCS code C1777 is used to identify the lead, specifically the endocardial single coil, used in a cardioverter-defibrillator. This code is specific to the supply of the lead and should not be used for any other purpose. It is important to use this code accurately to ensure proper billing and reimbursement.

2. Official Description

The official description of HCPCS code C1777 is “Lead, cardioverter-defibrillator, endocardial single coil (implantable)”. The short description is “Parenteral supp not othrws c”. These descriptions accurately define the purpose and nature of the code.

3. Procedure

1. The procedure for HCPCS code C1777 involves the implantation of the endocardial single coil lead into the patient’s heart during a cardioverter-defibrillator procedure.
2. The provider will make an incision and create a pocket for the cardioverter-defibrillator device.
3. The endocardial single coil lead will be carefully inserted into the heart and positioned in the appropriate location.
4. The lead will be connected to the cardioverter-defibrillator device, completing the implantation procedure.
5. Proper testing and verification of the lead’s functionality will be performed to ensure its effectiveness in detecting and treating cardiac arrhythmias.

4. When to use HCPCS code C1777

HCPCS code C1777 should be used when billing for the supply of the endocardial single coil lead used in a cardioverter-defibrillator procedure. It is important to ensure that the lead being billed matches the specifications outlined in the code description. This code should not be used for any other purpose or supply.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1777, healthcare providers should ensure that the following documentation is included:

• Procedure notes indicating the implantation of the endocardial single coil lead
• Details of the cardioverter-defibrillator procedure
• Confirmation of the specific lead used, matching the description of C1777
• Any additional relevant documentation supporting the medical necessity of the procedure

6. Historical Information and Code Maintenance

HCPCS code C1777 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. No maintenance actions have been taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its addition to the system.

7. Medicare and Insurance Coverage

HCPCS code C1777 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Providers should follow the specific reimbursement guidelines of the respective payers when billing for this code.

8. Examples

Here are some examples of when HCPCS code C1777 should be billed:

1. A patient undergoes a cardioverter-defibrillator implantation procedure, and the endocardial single coil lead is used. The provider should bill for the supply of the lead using HCPCS code C1777.
2. During a cardiac procedure, the provider replaces a malfunctioning endocardial single coil lead with a new one. The supply of the new lead should be billed using HCPCS code C1777.
3. A patient requires a revision surgery for their cardioverter-defibrillator system, and the endocardial single coil lead is replaced. The provider should bill for the supply of the new lead using HCPCS code C1777.
4. In a clinical trial for a new cardioverter-defibrillator device, the endocardial single coil lead is used. The supply of the lead should be billed using HCPCS code C1777.
5. A patient undergoes a cardioverter-defibrillator explantation procedure, and the endocardial single coil lead is removed. The provider should bill for the removal of the lead using HCPCS code C1777.